| NPI | 1740667039 |
|---|---|
| Former Name | ELIZABETH MARIE KRIEGH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS019545) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 5990) |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2024-05-21 |